Archives of Bone and Joint Surgery-ABJS最新文献

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Patient Reported Outcomes of Total Knee Arthroplasty with Ultra-congruent Lipped Polyethylene Liners: A Randomized Study. 使用超同心层聚乙烯衬垫进行全膝关节置换术的患者报告结果:随机研究
IF 1.2
Archives of Bone and Joint Surgery-ABJS Pub Date : 2025-01-01 DOI: 10.22038/ABJS.2024.80407.3674
Jonathan Liu, Mohammad Daher, Jacob Laperche, Drew Clippert, Zainab Ibrahim, Thomas J Barrett, Valentin Antoci
{"title":"Patient Reported Outcomes of Total Knee Arthroplasty with Ultra-congruent Lipped Polyethylene Liners: A Randomized Study.","authors":"Jonathan Liu, Mohammad Daher, Jacob Laperche, Drew Clippert, Zainab Ibrahim, Thomas J Barrett, Valentin Antoci","doi":"10.22038/ABJS.2024.80407.3674","DOIUrl":"10.22038/ABJS.2024.80407.3674","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study is to compare the Depuy curved (CVD) polyethylene insert to the curved plus (CVD+) design in TKA, which has an increased dished curve for increased articulation congruence and thus secondary anterior to posterior stability.</p><p><strong>Methods: </strong>A randomized controlled trial with 100 patients was conducted to compare two knee replacement designs (CVD and CVD+ polyethylene inserts) using the Johnson and Johnson DePuy PFC Sigma total knee replacement. All participants, were randomized and blinded to reduce bias. The trial achieved 100% recruitment and maintained blinding throughout the study. Demographics, baseline characteristics, and KOOS scores were recorded pre-operatively, and at 3 and 12 months postoperatively. In addition, physical and mental component scores (PCS and MCS) were collected at 12 months post-operatively.</p><p><strong>Results: </strong>Sixty patients had preoperative data, split equally into CVD and CVD+ groups. The cohort's average age was 71.47 years, and 72% were female, with no statistically significant demographic differences between groups. Preoperative measures showed no differences in Pain, ADL, or QOL. At 3 months, no significant differences were noted, though the QOL difference was 64.45 ± 16.57 for CVD and 52.94 ± 27.1 for CVD+ (p = 0.15). At 12 months, trends favored the CVD group, but differences in Pain, ADL, QOL, PCS, and MCS were not significant. Complications were similar, except for stiffness, with 0 cases in the CVD group and 3 in the CVD+ group at 3 months; both had 2 additional cases at 12 months.</p><p><strong>Conclusion: </strong>In our study, there was no difference between designs in terms of pain, activities of daily living, and standard outcomes. Further studies are required to support the benefit of increased congruence in the CVD+ design, even though widespread adoption has been common across the industry.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 2","pages":"100-105"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11836800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Amputation after Multiple Times Failed Total Knee Arthroplasties: The Last Resort. 多次全膝关节置换术失败后的截肢:最后的手段。
IF 1.2
Archives of Bone and Joint Surgery-ABJS Pub Date : 2025-01-01 DOI: 10.22038/ABJS.2024.80181.3659
Bushu Harna, Shivali Arya, Anil Arora
{"title":"Amputation after Multiple Times Failed Total Knee Arthroplasties: The Last Resort.","authors":"Bushu Harna, Shivali Arya, Anil Arora","doi":"10.22038/ABJS.2024.80181.3659","DOIUrl":"https://doi.org/10.22038/ABJS.2024.80181.3659","url":null,"abstract":"<p><strong>Objectives: </strong>The study assessed the clinical and functional outcomes of transfemoral amputations following TKA complications, shedding light on a procedure often considered in extreme cases.</p><p><strong>Methods: </strong>In this retrospective study, six patients undergoing above-knee amputation due to TKA complications were analysed. Diagnosis of periprosthetic joint infection relied on clinical presentation and the Musculoskeletal Infection Society Definition (2011). Patient demographics, comorbidities, and surgical interventions were meticulously recorded. The study aimed to contribute valuable insights into the intricacies of managing complications post-TKA.</p><p><strong>Results: </strong>The study cohort, constituting 0.002% of total TKA cases, exhibited a mean age of 78.8 years. Comorbidities, predominantly diabetes, were prevalent. The duration between TKA and amputation averaged 6.3 years. Surgical interventions, including revisions, debridements, and aspirations, were numerous, reflecting the complexity of managing complications. All patients underwent above-knee amputation using a single-stage approach, with careful consideration of the surgical site's condition. Post-amputation care, including stump care and prosthetic leg options, was tailored to individual patients' needs. Patients were diligently followed for a minimum of 12 months. Stump wounds healed without requiring revisions, and prosthetic limbs were successfully applied to three patients. Mobility status and disability scores, evaluated through the Sickness Impact Profile (SIP), showed significant improvement.</p><p><strong>Conclusion: </strong>The study highlights periprosthetic joint infection as the primary cause of multiple failed procedures leading to amputation. Microbiological findings identified common pathogens, including Staphylococcus aureus and Pseudomonas aeruginosa. Challenges posed by biofilm formation underscored the complexities of antibiotic treatment. Transfemoral amputation emerges as a feasible option for patients with multiple failed TKAs, particularly in cases of persistent infection. The decision-making process should encompass a thorough consideration of the number of failed procedures, cost-benefit analysis, and various psychosocial and economic factors. Further research and extensive multicentric studies are imperative to validate and expand upon these findings.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 4","pages":"188-195"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050078/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient and Surgeon Variables Associated With a Diagnosis of Shoulder Periprosthetic Joint Infection. 与肩关节假体周围感染诊断相关的患者和外科医生变量。
IF 1.2
Archives of Bone and Joint Surgery-ABJS Pub Date : 2025-01-01 DOI: 10.22038/ABJS.2024.80401.3675
Richard Feng, Kacie Mitchell, Shyam S Ramachandran, Melle Broekman, Anthony Johnson, David Ring, Sina Ramtin
{"title":"Patient and Surgeon Variables Associated With a Diagnosis of Shoulder Periprosthetic Joint Infection.","authors":"Richard Feng, Kacie Mitchell, Shyam S Ramachandran, Melle Broekman, Anthony Johnson, David Ring, Sina Ramtin","doi":"10.22038/ABJS.2024.80401.3675","DOIUrl":"10.22038/ABJS.2024.80401.3675","url":null,"abstract":"<p><strong>Objectives: </strong>There is no consensus reference standard for diagnosing prosthetic shoulder joint infection (PJI). There may be inadequate distinction between colonization and infection. It is not clear that culture of a common shoulder commensal organism can account for unexpected pain or stiffness after shoulder arthroplasty. In this survey-based experiment, we asked: 1) What patient and surgeon variables are associated with diagnosis of shoulder PJI? And 2) What is the surgeon interobserver agreement for diagnosis of shoulder PJI?</p><p><strong>Methods: </strong>One hundred seven members of the Science of Variation Group reviewed ten hypothetical patient scenarios with five randomized variables: examination findings, serum markers, synovial fluid markers, histological assessment, and organism cultured from deep tissue specimens. Participants diagnosed the presence or absence of shoulder PJI. Mixed multilevel logistic regression sought variables associated with PJI diagnosis. Interobserver agreement was measured with Fleiss kappa.</p><p><strong>Results: </strong>Surgeon diagnosis of shoulder PJI was independently associated with deep tissue culture growth of C. acnes (OR=235 [95% CI 19 to 2933]; P < 0.01), S. epidermidis (OR=147 [95% CI 8.4 to 2564]; P < 0.01), and S. aureus (OR=110 [95% CI 6.9 to 1755]; P < 0.01) much more so than presence of a sinus tract on examination (OR=43 [95% CI 3.7 to 505]; P < 0.01), inflammatory histology (OR=15 [95% CI 4.0 to 58]; P < 0.01), inflammatory synovial fluid markers (OR=13 [95% CI 3.9 to 45]; P < 0.01), and serum inflammatory markers (OR=5.8 [95% CI 2.0 to 17]; P < 0.01). The reliability of surgeon diagnosis for shoulder PJI was poor (Fleiss kappa = 0.013 [95% CI -0.0039 to 0.031]).</p><p><strong>Conclusion: </strong>The observation that surgeons may not adequately distinguish colonization and infection - considering any positive culture as an infection - combined with the low reliability of diagnosis observed, suggests possible overdiagnosis and overtreatment of shoulder PJI.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 5","pages":"258-265"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12232570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Early Clinical Outcomes of Polyaxial Locking Cap Plate Fixation for Fixation of Displaced Olecranon Fractures. 多轴锁定帽状钢板固定术用于固定移位的骨骺骨折的早期临床效果。
IF 1.2
Michael Jason Gutman, Manan Sunil Patel, James William Connelly, Edward Scott Paxton, Surena Namdari, John Gabriel Horneff
{"title":"Early Clinical Outcomes of Polyaxial Locking Cap Plate Fixation for Fixation of Displaced Olecranon Fractures.","authors":"Michael Jason Gutman, Manan Sunil Patel, James William Connelly, Edward Scott Paxton, Surena Namdari, John Gabriel Horneff","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study is to evaluate the outcomes of a polyaxial locking plate utilizing locking-cap fixation for treatment of patients with displaced olecranon fractures.</p><p><strong>Methods: </strong>A retrospective review was performed for all consecutive patients at two institutions with displaced olecranon fractures treated with a polyaxial locking plate. Patients were required to have at least 1-year follow up. Clinical outcomes including the Disabilities of the Arm, Shoulder, and Hand (DASH) score, Single Assessment Numeric Evaluation (SANE), along with a Likert-scaled satisfaction survey ranging between 1-5 (1= very unsatisfied and 5= very satisfied) were collected.</p><p><strong>Results: </strong>The plate osteosynthesis was performed on 24 patients with displaced olecranon fractures. Functional outcome scores were collected on 19 (79.2%) patients. The mean age at the time of surgery was 57.9 years (range, 23 to 78) and mean clinical follow-up was 21.0 ± 6.6 months (range, 12-34 months). All patients achieved osseous union in an acceptable position. Four (16.7%) patients complained of plate related pain and 6 (25%) patients complained of postoperative stiffness. Complications were found in 3 (12.5 %) patients, which included two neuropathies and one hardware failure in which a patient presented following a fall with a broken screw. No patients required revision surgery nor removal of hardware. A total of 16 (84%) patients were somewhat to very satisfied. The mean SANE score was 87.8 ± 14.6 (range: 45-100) and the mean DASH score was 13.8 + 17.5 (range: 0-55.8). Seventeen (89%) patients rated their elbows as 75% or better on SANE assessment and 16 (84%) patients achieved DASH scores of less than 30.</p><p><strong>Conclusion: </strong>Polyaxial plate fixation utilizing locking-cap technology resulted in excellent short-term functional outcomes in patients with displaced olecranon fractures. Further follow-up is needed to determine the long-term outcomes of locking-cap constructs for olecranon fractures.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 1","pages":"23-29"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11776381/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk Factors and Outcomes Associated with Emergency Abdominal Surgery following Lower Extremity Total Joint Arthroplasty. 下肢全关节置换术后急诊腹部手术的危险因素和结果
IF 1.2
Archives of Bone and Joint Surgery-ABJS Pub Date : 2025-01-01 DOI: 10.22038/ABJS.2024.82090.3743
Annie Lu, Senthil Sambandam, Marc Gadda, Terrul Ratcliff, Sergio Huerta
{"title":"Risk Factors and Outcomes Associated with Emergency Abdominal Surgery following Lower Extremity Total Joint Arthroplasty.","authors":"Annie Lu, Senthil Sambandam, Marc Gadda, Terrul Ratcliff, Sergio Huerta","doi":"10.22038/ABJS.2024.82090.3743","DOIUrl":"https://doi.org/10.22038/ABJS.2024.82090.3743","url":null,"abstract":"<p><strong>Objectives: </strong>This study aims to identify potential risk factors and assess postoperative outcomes associated with requiring emergency abdominal surgery (EAS) within 30 days following total hip arthroplasty (THA) and total knee arthroplasty (TKA). We hypothesized that patients requiring EAS would carry a higher morbidity and mortality rates compared to patients that underwent the index operation alone.</p><p><strong>Methods: </strong>We conducted a retrospective analysis using TriNetX, examining data from 2016-2024 from patients over 18 years old who underwent THA/TKA and required EAS within 30 days. Postoperative outcomes, including mortality and hospital readmission, were compared between patients requiring EAS and those who did not. Statistical analyses included measures of association and chi-squared tests. Patient demographic data, including age, sex, and comorbidities were analyzed.</p><p><strong>Results: </strong>Patients requiring EAS within 30 days of a joint arthroplasty were significantly more likely to be older, overweight or obese, and to be diagnosed with comorbidities including diverticular disease, cholelithiasis, alcohol use disorders, and tobacco use. These patients had significantly higher mortality rates within 60 days of joint arthroplasty compared to patients without EAS, suggesting that the second operation contributed significantly to the increase in adverse outcomes.</p><p><strong>Conclusion: </strong>This study emphasizes the importance of recognizing key risk factors for severe GI complications that require EAS. These findings highlight the need for careful patient selection, pre-operative evaluation of risk, and vigilant post-operative management, especially in those with many risk factors. Improved identification and management of high-risk patients may help reduce the likelihood of EAS and its associated mortality.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 4","pages":"196-203"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050082/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Efficacy and Safety of Orthobiologic Treatments for Greater Trochanteric Pain Syndrome: A Comprehensive Scoping Review. 骨科治疗大转子疼痛综合征的疗效和安全性:一项全面的范围综述。
IF 1.2
Archives of Bone and Joint Surgery-ABJS Pub Date : 2025-01-01 DOI: 10.22038/ABJS.2024.82620.3762
Ali Parsa, Saeid Esmaeilian, Adam W Anz, Farimah Naghibian, Morteza Behjat, Neda Mirzaei, Elham Rahmanipour, Mohammad Ghorbani
{"title":"The Efficacy and Safety of Orthobiologic Treatments for Greater Trochanteric Pain Syndrome: A Comprehensive Scoping Review.","authors":"Ali Parsa, Saeid Esmaeilian, Adam W Anz, Farimah Naghibian, Morteza Behjat, Neda Mirzaei, Elham Rahmanipour, Mohammad Ghorbani","doi":"10.22038/ABJS.2024.82620.3762","DOIUrl":"https://doi.org/10.22038/ABJS.2024.82620.3762","url":null,"abstract":"<p><strong>Objectives: </strong>This scoping review aims to evaluate the safety and efficacy of orthobiologics in the treatment of Greater Trochanteric Pain Syndrome (GTPS), with a focus on pain relief, functional improvement, and quality of life.</p><p><strong>Methods: </strong>We conducted a comprehensive search of PubMed, Embase, Cochrane Library, Web of Science, Scopus, Google Scholar, and CINAHL for studies published from January 1, 2000, to March 20, 2024. Eligible studies included case series, cohort studies, case-control studies, and randomized controlled trials (RCTs) that investigated the use of orthobiologics for GTPS. The primary outcomes assessed were pain, function, and quality of life. The quality of the studies was evaluated using the JADAD scale, the Cochrane Risk of Bias Tool, and the MINORS score.</p><p><strong>Results: </strong>The review included 19 studies involving a total of 811 participants. Platelet-rich plasma (PRP) was found to significantly reduce pain, as measured by the VAS scores, and to improve functional outcomes including the modified Harris Hip Score (mHHS) and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores. These findings suggest that PRP may be an effective treatment for GTPS. The studies reported minimal side effects that were generally mild and transient.</p><p><strong>Conclusion: </strong>PRP and other orthobiologic treatments show promise in managing GTPS, showing good safety profiles and potential benefits. However, further high-quality RCTs are necessary to confirm long-term efficacy and to establish standardized treatment protocols.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 4","pages":"176-187"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anti-PF4/ Heparin Antibodies Early Seroconversion in Hip Fracture Patients Receiving Low Molecular Weight Heparin Prophylaxis: a Pilot Study of 100 Consecutive Patients. 抗pf4 /肝素抗体在髋部骨折患者接受低分子肝素预防的早期血清转化:一项连续100例患者的试点研究
IF 1.2
Archives of Bone and Joint Surgery-ABJS Pub Date : 2025-01-01 DOI: 10.22038/ABJS.2025.80206.3661
Markos Psifis, Christos Koutserimpas, Ioannis Stavrakakis, Chrysostomos Tsatsoulas, Vasiliki Danilatou, Kalliopi Alpantaki
{"title":"Anti-PF4/ Heparin Antibodies Early Seroconversion in Hip Fracture Patients Receiving Low Molecular Weight Heparin Prophylaxis: a Pilot Study of 100 Consecutive Patients.","authors":"Markos Psifis, Christos Koutserimpas, Ioannis Stavrakakis, Chrysostomos Tsatsoulas, Vasiliki Danilatou, Kalliopi Alpantaki","doi":"10.22038/ABJS.2025.80206.3661","DOIUrl":"10.22038/ABJS.2025.80206.3661","url":null,"abstract":"<p><strong>Objectives: </strong>Heparin-induced thrombocytopenia (HIT) represents a serious adverse reaction triggered by antibodies (anti-PF4/H) in heparin regimens. It is not clear if different low-molecular weight heparins (LMWHs) prompt distinct immunogenic responses in anti-PF4/H production and if these antibodies correlate with thrombocytopenia, thrombotic events, and early postoperative mortality. This pilot prospective study investigates the early output of anti-PF4/ H in elderly patients undergoing proximal femoral nailing for an intertrochanteric hip fracture surgery.</p><p><strong>Methods: </strong>A total of 100 consecutive patients (72 females) with surgically treated intertrochanteric hip fractures were prospectively included. Ninety-four patients were available for the final follow-up. Twenty-seven patients received bemiparin, 42 enoxaparin and 25 tinzaparin. The levels of anti-PF4/H using the semi-quantitative latex-enhanced immunoassay; HemosIL® HIT-Ab(PF4-H) and platelets (PLT) levels were measured on the admission day and on day 5 following LMWH administration. Patients were followed up for at least 3 months for major thrombotic events and all-cause mortality.</p><p><strong>Results: </strong>No patient developed clinically evident HIT, while 6 (6.4%) experienced thrombotic complications, and 22 (23.4%) passed away within 3 months after surgery. None of the patients with thrombotic complications tested positive for anti-PF4/H. Upon evaluating patients' seroconversion by day 5, six out of 94 (6.4%) patients tested positive for anti-PF4/H. Among them, three patients received bemiparin, two tinzaparin, and one enoxaparin. No statistically significant variance was observed in anti-PF4/H seroconversion between different types of LMWHs (p-value = 0.545) or in PLT count deviations (p-value = 0.990).</p><p><strong>Conclusion: </strong>This pilot prospective study investigated anti-PF4/H production in older patients with hip fractures receiving different LMWHs. Preliminary results suggest that all tested anticoagulants have similar immunogenicity profiles in terms of PF4/H sensitization. These findings highlight the overall safety of LMWHs in elderly hip fracture patients. Moreover, the presence of anti-PF4/H appears unrelated to PLT fluctuations, subsequent VTE events and early postoperative mortality.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 5","pages":"291-298"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12232573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mechanisms and Management of Knee Anterior Cruciate Ligament Injury; A Review. 膝关节前交叉韧带损伤的机制及治疗复习一下。
IF 1.2
Archives of Bone and Joint Surgery-ABJS Pub Date : 2025-01-01 DOI: 10.22038/ABJS.2024.77176.3569
Seyyed Mohsen Hosseininejad, Mohammad Kazem Emami Meybodi, Mehdi Raei, Alireza Rahimnia
{"title":"Mechanisms and Management of Knee Anterior Cruciate Ligament Injury; A Review.","authors":"Seyyed Mohsen Hosseininejad, Mohammad Kazem Emami Meybodi, Mehdi Raei, Alireza Rahimnia","doi":"10.22038/ABJS.2024.77176.3569","DOIUrl":"10.22038/ABJS.2024.77176.3569","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to clarify the debate on anterior cruciate ligament (ACL) injury management and the selection of patients for surgical or nonsurgical treatment.</p><p><strong>Methods: </strong>A retrospective, citation-based approach was employed to search for English literature that assessed management options and mechanisms for ACL injuries.</p><p><strong>Results: </strong>A variety of mechanical and neurocognitive mechanisms are involved in ACL injuries that could be used to develop practical prevention strategies. More precise preoperative clinical, and paraclinical assessments, as well as clarification of available treatment options for patients, would lead to individualized decisions on injury management, and thus to objective and subjective satisfaction. Prioritization of attentive physical therapy rehabilitation plans will also improve treatment outcomes.</p><p><strong>Conclusion: </strong>A better understanding of the ACL injury/patient characteristics will help to achieve optimal treatment outcomes for each individual and develop targeted and practical prevention strategies.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 5","pages":"249-257"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12232572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Role of Selective Soft Tissue Pollicization for Thumb and First Web Reconstruction - A Case Report. 选择性软组织极化在拇指及首蹼重建中的作用- 1例报告。
IF 1.2
Archives of Bone and Joint Surgery-ABJS Pub Date : 2025-01-01 DOI: 10.22038/ABJS.2024.81591.3718
Babak Shojaie, Hossein Saremi, Amirreza Rostami, C Can Cedidi
{"title":"The Role of Selective Soft Tissue Pollicization for Thumb and First Web Reconstruction - A Case Report.","authors":"Babak Shojaie, Hossein Saremi, Amirreza Rostami, C Can Cedidi","doi":"10.22038/ABJS.2024.81591.3718","DOIUrl":"https://doi.org/10.22038/ABJS.2024.81591.3718","url":null,"abstract":"<p><p>Hand injuries from firecrackers require precise repair, especially when the thumb is involved due to its crucial role in grasping, pinching, and daily activities. In this study, we evaluate the outcomes of selective soft tissue pollicization in a patient who sustained fireworks injuries, including multiple wounds, amputations with bone exposure, digital nerve transections, and extensive soft tissue damage across several fingers. Numerous methods exist to achieve optimal results, each with benefits and downsides. Through comprehensive assessment and meticulous surgical technique, we present the therapeutic management of a case that necessitated a selective approach to reconstruction, with focusing on preserving neurovascular bundles and tendons. Post-surgery, the patient regained full sensation and functional movement in the first metacarpophalangeal and interphalangeal joints, closely mirroring a normal thumb, enabling effective grasping, pinching, and opposition movements for daily tasks.</p>","PeriodicalId":46704,"journal":{"name":"Archives of Bone and Joint Surgery-ABJS","volume":"13 4","pages":"233-236"},"PeriodicalIF":1.2,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimizing Outcomes after Operative Treatment Bicondylar Tibial Plateau Fractures - Time for Innovation? 优化手术治疗双髁胫骨平台骨折后的疗效 - 是时候进行创新了吗?
IF 1.3
Archives of Bone and Joint Surgery-ABJS Pub Date : 2024-01-01 DOI: 10.22038/ABJS.2023.72836.3378
Mihir S Dekhne, Derek Stenquist, Nishant Suneja, Michael J Weaver, Michael Moerk Petersen, Upender Martin Singh, Arvind Von Keudell
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